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Oclusión de las arterias retinianas - Treatment

Nombres alternativos

Oclusión de la arteria central de la retina; Oclusión de rama de la arteria retiniana; OACR; ORAR

Tratamiento:

No hay ningún tratamiento comprobado para la pérdida de la visión que involucre a todo el ojo, a menos que sea causada por otra enfermedad que se pueda tratar.

Se pueden ensayar varios tratamientos, los cuales deben administrarse al cabo de 2 a 4 horas después de que los síntomas empiezan a aliviarse. Sin embargo, el beneficio de estos tratamientos nunca se ha comprobado y rara vez se utilizan.

  • Inhalación de una mezcla de dióxido de carbono-oxígeno. Este tratamiento hace que las arterias de la retina se ensanchen (dilaten).
  • Masaje del ojo
  • El fármaco trombolítico activador del plasminógeno tisular (APT)

El médico debe buscar la causa de los bloqueos, los cuales pueden ser un signo de un problema de salud potencialmente mortal.

Expectativas (pronóstico):

Es posible que las personas que presenten bloqueos de las arterias de la retina no recuperen su visión.

Complicaciones:

  • Glaucoma (OACR solamente)
  • Pérdida parcial o completa de la visión en el ojo afectado
  • Accidente cerebrovascular (debido a los mismos factores que contribuyen a la oclusión de la arteria retiniana y no debido a la oclusión en sí)

Situaciones que requieren asistencia médica:

Consulte con el médico si presenta falta de claridad o pérdida de visión repentinas.

  • Reviewed last on: 4/15/2010
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Duker JS. Retinal arterial occlusion. In: Yanoff M, Duker JS, eds. Ophthalmology. 3rd ed. Maryland Heights, Mo: Mosby Elsevier;2008:chap 6.16.

Fay A. Diseases of the visual system. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 449.

Pokhrel PK, Loftus SA. Occular emergencies. Am Fam Physician. 2007;76:829-836.

Vortmann M, Schneider JI. Acute monocular visual loss. Emerg Med Clin North Am. 2008;26:73-96.

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